Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $1,122.02 / $4,365.16	Facility		$50.12	$1,122.02	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $181.97 / $549.54	Professional		$50.12	$181.97	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $1,202.26	Professional		$120.23	$147.91	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $524.81 / $1,000.00	Facility		$66.07	$524.81	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $602.56 / $3,019.95	Professional		$128.82	$602.56	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $851.14	Professional		$114.82	$128.82	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $776.25	Professional		$112.20	$112.20	$776.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $501.19 / $758.58	Professional		$87.10	$501.19	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $954.99	Professional		$70.79	$151.36	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $933.25	Professional		$102.33	$123.03	$933.25